Comparison of Three Tracheal Intubation Procedures Using Personal Protective Equipment, Direct and Video Laryngoscopes: An Open, Randomized, Parallel Clinical Trial.

Q2 Medicine
Anesthesiology and Pain Medicine Pub Date : 2024-09-17 eCollection Date: 2024-08-01 DOI:10.5812/aapm-148208
Dita Aditianingsih, Pryambodho Pryambodho, Jonathan Antonius Wibowo, El Nissi Leonard, Chrisella Annabelle
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引用次数: 0

Abstract

Background: During the COVID-19 pandemic, severe respiratory failure is a life-threatening condition, and life-saving tracheal intubation is a high-risk aerosol- and droplet-generating procedure. It is crucial to protect healthcare workers without compromising patient safety during intubation. The use of personal protective equipment (PPE) and different types of laryngoscopes are measures to reduce the risk of infectious transmission that might impact the intubation process.

Objectives: This study aimed to evaluate the effects of different levels of PPE and types of laryngoscopes on the duration of the intubation process and its success rate.

Methods: We conducted an open, randomized, parallel clinical trial on non-COVID-19 adult patients scheduled for elective and emergency surgeries under general anesthesia from November 2021 to May 2022. Patients were divided into three groups: Group 1 was intubated using a video-guided laryngoscope with operators wearing level three PPE; group 2 was intubated using a direct laryngoscope with operators wearing level three PPE; and group 3 was intubated using a direct laryngoscope with operators wearing level two PPE. Intubation was performed by 2nd- and 3rd-year anesthesia residents.

Results: The duration of intubation varied significantly among the groups, with Group 1 taking the longest time (P = 0.046). Group 3 had a higher success rate for first-attempt intubation (P = 0.056).

Conclusions: The use of PPE and video-guided laryngoscopy had varying effects on the intubation procedure, with the most notable impact being on the overall length of intubation. Further research with a larger sample size is needed to validate these findings.

使用个人防护装备、直接喉镜和视频喉镜的三种气管插管方法的比较:一项开放、随机、平行的临床试验。
背景:在2019冠状病毒病大流行期间,严重呼吸衰竭是一种危及生命的疾病,而挽救生命的气管插管是一种高风险的气溶胶和飞沫产生过程。在不影响插管期间患者安全的情况下保护医护人员至关重要。使用个人防护装备(PPE)和不同类型的喉镜是减少可能影响插管过程的感染传播风险的措施。目的:本研究旨在评估不同PPE水平和喉镜类型对插管过程持续时间和成功率的影响。方法:我们对2021年11月至2022年5月在全身麻醉下进行择期和急诊手术的非covid -19成年患者进行了一项开放、随机、平行的临床试验。患者分为三组:第一组使用视频引导喉镜插管,操作人员佩戴三级PPE;第二组采用直接喉镜插管,操作人员佩戴三级防护装备;第三组采用直接喉镜插管,操作人员佩戴二级防护装备。插管由2年和3年麻醉住院医师进行。结果:各组间插管时间差异有统计学意义,以组1最长(P = 0.046)。第3组首次插管成功率较高(P = 0.056)。结论:PPE和视频引导喉镜的使用对插管过程有不同的影响,其中对插管总长度的影响最为显著。需要更大样本量的进一步研究来验证这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Anesthesiology and Pain Medicine
Anesthesiology and Pain Medicine Medicine-Anesthesiology and Pain Medicine
CiteScore
4.60
自引率
0.00%
发文量
49
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